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Agency for Persons with
Disabilities Consumer-Directed Care Plus
Program
13th Annual Family Café Conference June 3, 2011
Rhonda Sloan
Operations Review Specialist/ Training Coordinator
Presentation Overview
What is the Consumer-Directed Care Plus Program (CDC+)
Essential CDC+ Responsibilities
Critical CDC+ Program Updates
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What is the CDC+ Program 1915(j) State Plan Amendment
for Florida Medicaid Waiver Recipients?
The CDC+ program empowers recipients of Home and Community-Based Medicaid Waiver services with the ability to self-direct or independently decide:
Payment for services within an allocated monthly budget
Employment, management, and termination of their own directly hired employees, including family members
Permission to use their service budget to pay for items that increase personal independence
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Essential CDC+ ResponsibilitiesParticipant Responsibility
With choice comes responsibility – The CDC+ participant and his/her CDC+ representative (if one is selected to work with the participant) are responsible for learning how to operate the CDC+ program within state and federal rules and guidelines and to stay informed of all changes.
The CDC+ participant and his/her CDC+ representative are responsible for managing the Medicaid funds provided to the participant and this responsibility must be taken seriously.
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Essential ResponsibilitiesAPD as DD CDC+ Fiscal Agent
APD serves as the fiscal agent for the DD waiver population enrolled in the CDC+ Program.
Reviewing and entering consumer purchasing plans
Processing provider paperwork for state and federal tax reporting
Verification and processing of employee timesheets, invoices, and requests for reimbursement
Maintaining a customer service call center
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Available CDC+ Resources
Consumer Notebook
Representative
Consultant
APD Area CDC+ Liaison
Fiscal/Employer Agent
Toll-Free Customer Service Line1-866-761-7043
APD CDC Internet apd.myflorida.com/cdcplus
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APD CDC+ Program Updates
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Background Screening Changes
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Reminders
• Background Screening Law Change: Effective August 2010, Florida's background screening laws changed to require that all employees of CDC+ participants pass a level 2 background screening before they can begin working for the CDC+ participant who is their employer.
• Who: This includes everyone providing direct care to consumers, all minors and emergency back-ups (EBUs) who are listed on a Purchasing Plan as natural support.
• Background screening expenses are the responsibility of the provider, not the participant or representative. Medicaid or CDC+ funds cannot be used for screening or rescreening providers.
Background Screening Changes (continued)
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• What about Medicaid providers that you may want to hire? If your provider is already a Medicaid-enrolled provider who underwent a background screening at the time of their enrollment into the Medicaid program and has remained in good standing, then the provider does not have to be screened, but the CDC+ participant may always request a copy of their clearance letter.
• Background screenings are valid for five (5) years. When time for rescreening, the participant/representative must allow enough time to process the screening prior to the expiration date. Existing providers with Level 1 Background Screening must pass a Level 2 Background Screening prior to their Level 1 expiration date.
• Sharing copies of clearance letters: CDC+ employers can share copies of the clearance letter with other CDC+ employers. The new employer must ensure there has not been a break in employment of more than 90 days. However, an updated local name check and a notarized Affidavit of Good Moral Character will be needed.
Background Screening Tips
Background screening - Make copies of anything you send (even fingerprint card)
Retain documentation, keep everything
Make sure you have everything for every person/vendor you employ
Track 5-year re-screening and initiate at least 3 months prior
FAQ CDC+ Websiteapd.myflorida.com/background-screening/docs/cdcfaq.pdf
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CDC+ Training Participant Refresher Training
Annual Requirement Readiness Review Certificate
Readiness Review New participants/representatives are required to complete a Readiness Review prior to enrolling in the CDC+ program with at least a score of 85%. Review is open-book and self-directed.
Consultant (new and refresher) Training
New consultant ongoing as needed
Refresher annual requirement
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CDC+ 1915(j) Quality Assurance
What recipients, representatives, consultants, and directly hired employees need to know about quality assurance monitoring
▪ The DD waivers and the 1915(j) programs must be monitored for quality assurance as a requirement of the federal government for Medicaid services. AHCA contracted with Delmarva Foundation to conduct the discovery for the quality assurance review.
• It includes conducting Person-Centered Reviews (PCR) with recipients and Provider Discovery Reviews (PDR) with consultants and representatives/consumers including documentation review of vendors and directly hired employees who participate in the CDC+ program.
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Person-Centered Reviews To conduct a Person-Centered Review (PCR), recipients are asked to meet
with a Delmarva reviewer to determine if services are meeting needs and/or goals of the recipient, to monitor health and safety of the recipient, and to assess the program for satisfaction and needed improvement.
The PCR is used to gather information for measuring the quality of care, as required by the federal government, to monitor service delivery and recipient satisfaction of their Medicaid program. Average consumer PCR scores are 89.5% (compared with DD waiver at 83.1%).
The PCR is an easy way for recipients and families to receive technical assistance regarding rules and regulations for the program.
The recipient will not lose their place in the CDC+ program based on a single PCR review.
PCR is an optional review.
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Provider Discovery Reviews A Provider Discovery Review (PPR) is conducted with the representative
and consultant to ensure that the recipient’s care meets the required qualifications for the service rendered, based on DD handbook requirements for waiver service provision and CDC+ program rules for other goods and services. The average consultant score is 98%, and the average rep score is 86.6%.
PDRs will be conducted after a PCR review to evaluate provider performance, based on service delivery measures and program standards, to ensure that the consultant or representative is:
Helping the recipient to meet their expressed needs and/or goals determined in PCR review;
Meeting required qualifications for service provision; Ensuring that the health and safety of the recipient are being met
during service provision. PDRs are mandatory, if selected, and not participating will result in non-
compliance. Consultant and representative tools are on the website.14
CDC+ APD Quality Assurance Outcome
The most recent 2010 DD Waiver recipient Satisfaction Surveys show:
95.7% of consumers said their ability to direct their own services in the CDC+ program has improved their quality of life.
95.7% said they have more control over the quality of services
97.4% are satisfied with the CDC+ Program
97% of consumers would recommend CDC+ to others.
Peer Support Groups
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• Networking
• Resources
• Join NOW!
Contact Information
APD CDC+ Customer Service, toll free1-866-761-7043
Liesl Ramos, Program Administrator1-850-921-3785
Agency for Persons with Disabilities [email protected]
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Q & A Session
